Page 46 - meridian high res

Inventory Date
SGMC Smith Northview 9/16/20

Meridian
LOC NDC QTY Divisor Med Desc STRENGTH MANUFACTURER DEA CLASS AHFS SOURCE Package Cost Unit Cost Extended
28100000-OPIATE B: SMITH NORTHVIEW HOSP
P
0106 - SN6EO 67457029202 6.00 10 naloxone 0.4mg/1mL 1mL SOLN 0.4mg/mL Mylan Institutional LLC ANTAGONISTS urchase History 387496 $ 40.11 $ 4.01 $ 24.07
Fresenius Kabi USA, C: McKesson Catalog SMITH
NORTHVIEW H
0106 - SN6EO 63323035565 2.00 24 levofloxacin 500mg/100mL 100mL IVPB 5mg/mL LLC 08121800-QUINOLONES OSP 387496 $ 277.04 $ 11.54 $ 23.09
Fresenius Kabi USA, B: SMITH NORTHVIEW HOSP
Purchase History 387496
0106 - SN6EO 63323016501 9.00 25 dexamethasone 4mg/1mL 1mL SOLN 4mg/mL LLC 68040000-ADRENALS $ 55.42 $ 2.22 $ 19.95
Alcon Laboratories, 52160000-LOCAL B: SMITH NORTHVIEW HOSP
ur
P
0106 - SN6EO 00065074114 4.00 12 tetracaine 0.5% 4mL OP SOLN 5mg/mL Inc. ANESTHETICS (EENT) hase History 387496 $ 55.23 $ 4.60 $ 18.41
c
Somerset B: SMITH NORTHVIEW HOSP
Purchase History 387496
0106 - SN6EO 70069002125 7.00 25 dexamethasone 10mg/1mL 1mL SOLN 10mg/mL Therapeutics, LLC 68040000-ADRENALS $ 64.98 $ 2.60 $ 18.19
84049200-LOCAL ANTI-
INFECTIVES, B: SMITH NORTHVIEW HOSP
0106 - SN6EO 67618015005 17.00 1 povidone-iodine 10% 15mL SOLN 10mg/mL Avrio Health L.P. MISCELLANEOUS Purchase History 387496 $ 1.06 $ 1.06 $ 18.02
Pharmaceutical 56040000-ANTACIDS B: SMITH NORTHVIEW HOSP
P
0106 - SN6EO 00121176130 10.00 100 alum- mag- simeth 40-40-4mg 30mL SUSP 200; 200; 20m Associates, Inc. AND ADSORBENTS urchase History 387496 $ 174.49 $ 1.74 $ 17.45

84049200-LOCAL ANTI-
Pfizer Laboratories INFECTIVES, B: SMITH NORTHVIEW HOSP
0106 - SN6EO 61570013120 2.00 1 silver sulfadiazine 1%/1 20g Cream 10mg/g Div Pfizer Inc MISCELLANEOUS Purchase History 387496 $ 7.38 $ 7.38 $ 14.76
28322800-SELECTIVE B: SMITH NORTHVIEW HOSP
ur
c
P
0106 - SN6EO 67457088005 6.00 5 SUMAtriptan 6mg/0.5mL 0.5mL SOLN 6mg/.5mL Mylan Institutional LLC SEROTONIN AGONISTS hase History 387496 $ 12.01 $ 2.40 $ 14.41
28080492-OTHER
NONSTEROIDAL ANTI- B: SMITH NORTHVIEW HOSP
0106 - SN6EO 68094050361 15.00 100 ibuprofen 200mg/10mL SUSP 200mg/10mL Precision Dose Inc. INFLAM. AGENTS Purchase History 387496 $ 95.02 $ 0.95 $ 14.25
04040400-
ETHANOLAMINE B: SMITH NORTHVIEW HOSP
0106 - SN6EO 68094002262 9.00 30 diphenhydrAMINE 12.5mg/5mL 5mL elixir 12.5mg/5mL Precision Dose, Inc. DERIVATIVES Purchase History 387496 $ 44.36 $ 1.48 $ 13.31
Amneal 84080000-
Pharmaceuticals of ANTIPRURITICS AND B: SMITH NORTHVIEW HOSP
0106 - SN6EO 00115146860 3.00 5 lidocaine-prilocaine 2.5%/2.5% 5g cream 25; 25mg/g; m New York LLC LOCAL ANESTHETICS Purchase History 387496 $ 19.08 $ 3.82 $ 11.45
B: SMITH NORTHVIEW HOSP
0106 - SN6EO 00501379805 3.00 1 POLYSPORIN 500-10000 Units 14.17g OINT 500-10K/G J&J CONS PROD 840404 Purchase History 387496 $ 3.73 $ 3.73 $ 11.19
West-Ward
Pharmaceuticals 28080800-OPIATE C: McKesson Catalog SMITH
0106 - SN6EO 00641605325 5.00 25 meperidine 50mg/1mL 1mL INJ 50mg/mL Corp. II AGONISTS NORTHVIEW HOSP 387496 $ 49.44 $ 1.98 $ 9.89
40120000-
Baxter Healthcare REPLACEMENT B: SMITH NORTHVIEW HOSP
0106 - SN6EO 00338055311 4.00 80 sodium chloride 0.9% 50mL MBP 900mg/100mL Corporation PREPARATIONS Purchase History 387496 $ 189.20 $ 2.37 $ 9.46
28080492-OTHER
Fresenius Kabi USA, NONSTEROIDAL ANTI- C: McKesson Catalog SMITH
0106 - SN6EO 63323016201 12.00 25 ketorolac 30mg/1mL 1mL SOLN 30mg/mL LLC INFLAM. AGENTS NORTHVIEW HOSP 387496 $ 18.95 $ 0.76 $ 9.10
72000000-LOCAL
West-Ward ANESTHETICS B: SMITH NORTHVIEW HOSP
0106 - SN6EO 00143959425 10.00 25 LIDOCAINE PF 2% 5mL SOLN 20mg/mL Pharmaceuticals Corp (PARENTERAL) Purchase History 387496 $ 22.49 $ 0.90 $ 9.00
08120604-
CEPHALOSPORINS, C: McKesson Catalog SMITH
0106 - SN6EO 60505614205 6.00 25 ceFAZolin 1g VIAL 1g/1 Apotex Corp. FIRST GENERATION NORTHVIEW HOSP 387496 $ 33.02 $ 1.32 $ 7.92